How Do You Obtain a CIBA Vision Rebate Form?

CIBA Vision rebate forms are obtained after getting an eye exam or contact lens fitting and after purchasing select boxes of qualifying contact lens products. The purchase must have been made between July 1, 2015 through January 31, 2016 and within 90 days of the eye exam.

To register for the CIBA Vision rebate form, go to An original sales receipt, UPC for each brand of lens purchased, a copy of the eye exam receipt and an individual rebate code are required to obtain the rebate form. Individual rebate codes are found at the back of the rebate slip. After entering the rebate code, a rebate form is made available for download.

The above items are mailed to the address listed on the Alcon rebate form. Alternatively, call 855-785-6629 to obtain your rebate.